- Whitney Young Health Center (Albany, NY)
- …degree in a human services related field and 3 years' experience providing case management /care coordination in a community and human services agency. Strong ... acuity level. + Participates in weekly HIV/HCV/PrEP Clinical Care Review + Assist clients to access programs that will...related field with 2 years of work experience providing case management /care coordination services with one of… more
- Educational Alliance, Inc. (New York, NY)
- …Clinical Services and Documentation (80%) + Provide caseloads with weekly individual case management and counseling sessions consistent with the individualized ... appropriateness of the current level of treatment, corresponding with LOCADTR and utilization review instruments. + Coordinate integrated services with medical,… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …and responsibilities include: + Serve as part of a team comprised of Case Manager, Health Services Coordinator, and program supervisors to serve frail previously ... how to manage chronic conditions + Together with the Case Manager, provide education on insurance options available to...to clients as needed + Assist clients with medication review and understanding directives from Primary Care Physicians (PCPs)… more
- Community Housing Innovations (Fishkill, NY)
- …and reporting requirements to ensure all files are audit ready. + Create a client/ case profile utilizing the web-based client management system, Counselor Max. + ... of homeownership applications, including organizing files and maintaining waitlist. + Review all grant applications to determine the eligibility of an applicant… more
- Elderwood (Waverly, NY)
- …The Managed Care Coordinator assists and supports the LPN/RN MDS Coordinator with case management responsibilities. The candidate is the primary liaison between ... of communication (eFax, email, scan documents, phone calls) with case managers to provide concurrent updates as requested by...Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review . Managed Care Coordinator Skills and… more
- Elevance Health (New York, NY)
- …the medical necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts ... preferred. + Extensive spine surgery experience preferred. + Experience with utilization management , especially with CMS guidelines preferred. + **Orthopedic… more
- Crouse Hospital (Syracuse, NY)
- …+ Three (3) - Five (5) years acute hospital experience. + NICU experience + Case Management or Utilization Management experience preferred. Benefits ... is hiring a Care Manager (in the NICU) to review the services delivered to patients and compare it...maintaining the quality of care. + Participates in the utilization management process using standards of care… more
- Independent Health (Buffalo, NY)
- …innovation and collaboration. **Overview** The UMA provides administrative support to the Utilization Management , departments. The UMA is the first line of ... verification of eligibility and benefits for the requested service. + Initiates case for review in all pertinent systems to include, but not limited to: Macess,… more
- Veterans Affairs, Veterans Health Administration (Montrose, NY)
- …patient care. The RN will coordinate care focused on patient education, self- management , and customer satisfaction throughout the continuum of care by following ... education, orientation, competencies and providing quality improvement and outcomes utilization consultation. Provide evidence-based, condition specific (eg depression), protocol-driven… more
- Elevance Health (Latham, NY)
- …**Carelon Medical Benefits Management ** **Post Acute Care Benefit Utilization Management ** **Schedule: 10:00-7:00 Central Time** **** **Virtual:** This ... policies when making medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or… more